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Practice Name

Awaken Wellness

Primary Location
251 Park Road, Ste 150
Burlingame, CA 94010
Phone: (650) 685-1155
Main Content

Awaken Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Email your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign up using the form below or call (650) 685-1155.

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Dr. lorraine has changed the way I feel. Her style of chiropractic medicine is just what my old tired muscles needed. She was very effective in getting me through my post op knee replacement treatment. I cannot imagine not having her as a part of my health care plan.

- Judie P. / Burlingame, CA

Office Hours

M-F and alternate Saturday 
Hours by Appointment,
Click below to 
Schedule Your Appointment:

Click to Schedule Here

Office for BEMER
SESSIONS, RENTALS & SALES

Call: 650-688-2020
 


Interview on the BEMER at CoastsideBUZZ.com

 

Contact

  • (650) 685-1155
  • 251 Park Road, Ste 150 Burlingame, CA 94010
  • Get Directions
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Member Wellness